Page:United States Statutes at Large Volume 102 Part 4.djvu/186

 102 STAT. 3156

PUBLIC LAW 100-607—NOV. 4, 1988

nursing practice models designed to reduce vacancies in professional nursing positions and to make such positions a more attractive career choice. "(2) The Secretary may not make a grant under paragraph (1) unless the applicant for the grant agrees that hospital nursing practice models demonstrated pursuant to such subsection will include initiatives— "(A) to restructure the role of the professional nurse, through changes in the composition of hospital staffs and through innovative approaches for interaction between hospital administration and nursing personnel, in order to ensure that the particular expertise of such nurses is efficiently utilized and that such nurses are engaged in direct patient care during a larger proportion of their work time; "(B) to test innovative wage structures for professional nurses in order to— "(i) reduce vacancies in work shifts during impopular work hours; and "(ii) provide financial recognition based upon experience and education; and "(C) to evaluate the effectiveness of providing benefits for professional nurses, such as pensions, sabbaticals, and payment of educational expenses, as a means of developing increased loyalty of such nurses to health care institutions and reducing turnover in nursing positions.", (h) LONG-TERM CARE NURSING PRACTICE DEMONSTRATIONS.—Sec-

tion 820 (42 U.S.C. 296k), as amended by subsection (g) of this section, is further amended by inserting after subsection (c) the following new subsection: "(d)(l) The Secretary may make grants to public and nonprofit private entities accredited for the training of nurses for the purpose of— "(A) demonstrating innovative nursing practice models for— "(i) the provision of case-managed health care services (including adult day care) and health care services in the home; or "(ii) the provision of health care services in long-term care facilities; or "(B) developing projects to increase the exposure of nursing students to clinical practice in nursing home, home health, and gerontologic settings through collaboration between such accredited entities and entities that provide health care in such settings. "(2) The Secretary may not make a grant under paragraph (1) unless the applicant for the grant agrees that models demonstrated pursuant to such paragraph will be designed— "(A) to increase the recruitment and retention of nurses to provide nursing care for individuals needing long-term care; and "(B) to improve nursing care in home health care settings and nursing homes.", (i) AUTHORIZATION OF APPROPRIATIONS.—Section 820(g) (as redesignated by subsection (b)(2) of this section) is amended to read as follows: "(g)(1) For payments under grants and contracts under this section, there are authorized to be appropriated $13,000,000 for fiscal

�